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NPI Code Detail

MEDICARE: MRS. HEIDI HANDRICH M.S., CCC-SLP

MEDICARE: MRS. HEIDI HANDRICH M.S., CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist2268154WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528216124
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HEIDI HANDRICH M.S., CCC-SLP
Provider Business Mailing Address
First Line : PO BOX 735044
Second Line :
City : CHICAGO
State : IL
Zip : 60673-5044
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1673 DOUSMAN ST
Second Line :
City : GREEN BAY
State : WI
Zip : 54303-3209
Country : US
Telephone Number : 920-498-2559
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2008
Last Update Date : 10/25/2023

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